Perioperative management of ventriculoperitoneal shunts during abdominal surgery

Surgical Neurology
Gordon Li, Sanjeev Dutta

Abstract

Patients with ventriculoperitoneal shunts (VPSs) inserted for a variety of disorders may subsequently undergo gastrointestinal or urologic operations, and surgeons must determine the appropriate perioperative management to minimize the risk for shunt malfunction or infection. There is currently no established set of guidelines for this scenario. The objective of this study was to determine the risks and standard of practice for patients with VPSs undergoing abdominal surgery. A retrospective review of the charts of patients with VPSs who underwent abdominal or urologic surgery at the Stanford University Medical Center between 1995 and 2003 was performed. Data regarding type of abdominal surgery, level of contamination, choice of antibiotic therapy, perioperative management of the VPS, and outcomes were obtained. Twenty-six patient charts were reviewed, for a total of 39 operations (5 urologic, 23 upper gastrointestinal, and 11 lower gastrointestinal). Of these, 3 were clean, 34 were clean-contaminated, and 2 were dirty operations. Seven cases were laparoscopic, whereas 32 were open. Thirty-four cases required opening the bowel or urologic system. No patient had preoperative shunt externalization. All except one patient received...Continue Reading

References

Dec 1, 1979·Journal of Neurosurgery·R GeorgeM Epstein
May 1, 1975·The Journal of Infectious Diseases·S C SchoenbaumJ Shillito
Aug 11, 1992·Journal of Pediatric Surgery·T PittmanT Tracy
Aug 7, 1998·Pediatric Neurosurgery·W PumbergerW Geissler
May 10, 2000·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·C K ParkB K Cho
Feb 17, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Faisal Al-MufarrejPatrick Broe
Oct 15, 2005·JPEN. Journal of Parenteral and Enteral Nutrition·Alison Saalwachter Schulman, Robert G Sawyer
Jul 5, 2006·Journal of Pediatric Surgery·Sigmund H EinJames T Rutka

❮ Previous
Next ❯

Citations

Aug 4, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jason D FraserShawn D St Peter
Dec 1, 2011·Journal of Robotic Surgery·Stephen H BushByron C Calhoun
Jan 5, 2014·The Annals of Thoracic Surgery·Yong Won SeongYoung Tae Kim
Jun 16, 2009·Journal of Pediatric Surgery·Vincent E MortellaroElizabeth A Beierle
Sep 12, 2015·Journal of Neurosurgery. Pediatrics·Garrett T VenablePaul Klimo
Nov 11, 2017·Journal of Pediatric Rehabilitation Medicine·Dani O GonzalezDaryl J McLeod
Dec 22, 2017·Asian Journal of Endoscopic Surgery·Takahisa IshikawaAkinobu Taketomi
Dec 13, 2018·Case Reports in Surgery·Toru ImagamiHisanori Kani
Jan 5, 2021·British Journal of Neurosurgery·Joseph H MarcotteAlan R Turtz
Jul 13, 2021·Pediatric Clinics of North America·Smruti K PatelFrancesco T Mangano

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.